- Zurich NA (New York, NY)
- Claims Specialist II , General Liability 110492 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... should be expected. Zurich is currently looking for a ** Claims Specialist II ** to report...develop and execute a negotiation strategy and plan for resolution . + Ability to identify subtleties in customer/client and/or… more
- NJM Insurance (Hammonton, NJ)
- Job Description The Claim Resolution Specialist 1 will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary ... an action plan to manage the claim. The Claim Resolution Specialist 1 will work with and...NJM Legal to control legal expenses and assure effective resolution of claims to reduce aged inventory… more
- Trinity Health (Farmington Hills, MI)
- …as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues upon hire and as new systems and processes ... Work Remote Position (Pay Range: $20.6822-$31.0233) Performs day-to- day payment resolution activities within the Hospital and/or Medical Group revenue operations… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? **Job Title:** Accounts Resolution Specialist II **Department:** OTO Admin **Entity:** CPUP **Location:** ... St **Hours:** Full time regular **Summary:** + The Accounts Resolution Specialist II reports to...denials to mitigate future denials, expedite the reprocessing of claims and maximize opportunities to enhance front end claim… more
- NJM Insurance (Trenton, NJ)
- …Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist . This is a full-time position and offers a hybrid schedule after training. ... an action plan to manage the claim to final resolution . The Complex Claim Specialist will work...manage select Catastrophic (CAT) losses assigned by the Complex Claims Supervisor for developmental purposes. This role can be… more
- AON (Fort Wayne, IN)
- Underwriting Specialist II K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and ... choose K&K for our unique insurance products and expert claims resolution . As part of an industry-leading...What the day will look like As an Underwriting Specialist II , you will report directly to… more
- Methodist Health System (Dallas, TX)
- …resolving no response claims , denied claims , and correspondence. As an AR II Specialist , you will play a crucial role in optimizing revenue flow by ... **Your Job:** We are seeking an experienced Accounts Receivable II (AR II ) Specialist specializing...the ability to identify patterns, trends, and discrepancies in claims and financial data. - Effective communication and interpersonal… more
- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
- State of Colorado (Greeley, CO)
- Employee Relations Specialist (Administrator II ) - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4488772) Apply Employee ... Relations Specialist (Administrator II ) - Greeley Salary $48,396.00...disciplinary actions for legal sufficiency. + Respond to unemployment claims , employment verifications and requests for employment documentation. +… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training...additional service needs according to specific program guidelines. Uses claims processing and care management software to look up… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... that purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY:* * * The Revenue Cycle Specialist II will be responsible for the review, minor analysis, trending and follow up of Third Party Claims ... to include the identification, billing and collection of payments. The Revenue Cycle Specialist II will actively engage with other departments to ensure timely… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary… more
- Beth Israel Lahey Health (Burlington, MA)
- …helps to resolve callers' issues, retrieving critical information that impacts the resolution of current or potential future claims . 3. Establishes relationships ... Billing Office. 15. Assists the Billing Supervisor with the resolution of complex claims issues, denials and...Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of… more
- Boardwalk Pipeline Partners (Owensboro, KY)
- Sourcing Specialist I/ II / III/ Sr. Owensboro, KY, USA Req #1255 Wednesday, May 1, 2024 *To access Dayforce at its best, log in from the latest version of ... atwww.bwpipelines.com . We are currently looking for a Sourcing Specialist I/ II / III/ Sr. for our...procedures to expedite or coordinate deliveries. + Facilitate the resolution of disputes and claims . + Address… more
- Guthrie (Towanda, PA)
- …spreadsheets, creates and runs reports as needed to be used in the resolution of outstanding claims (ex. trending, projects, worklists) Identifies trends and ... Position Summary: Fulfills all requirements of Insurance Specialist I, as well as serving as a...required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit… more
- Cedars-Sinai (CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities,...**Req ID** : 2121 **Working Title** : Revenue Cycle Specialist II **Department** : CSRC HB Follow… more
- Cedars-Sinai (Torrance, CA)
- …in other revenue cycle functions and provide back-up coverage. The Revenue Cycle Specialist II : + Participates in department meetings and provides feedback to ... and courteous demeanor. **Req ID** : 1194 **Working Title** : Revenue Cycle Specialist II **Department** : MNS PBS Huntington Hospital **Business Entity** :… more
- Intrepid USA (Albany, GA)
- …individuals in the Agency in a timely manner. We are looking for an Support Specialist II who is highly organized and detail-oriented with the ability to ... acquisition, recruiting process and team members As a Support Specialist , you will be responsible for non-clinical areas of...as needed + Completing Key Performance Indicators reporting and resolution on a daily basis: . RAPs Reporting .… more
- University of Utah Health (Salt Lake City, UT)
- …and overall patient outcomes. **Responsibilities** + Performs insurance follow-up and denial resolution on outstanding claims . + Performs contract compliance on ... This position is responsible for insurance receivables collections, denials resolution and internal/external customer service. Account portfolio may include accounts… more